JENNIFER MARIE WALLACE

DEPTFORD, NJ
NPI1790412591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ01341100)
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
JENNIFER MARIE WALLACE nurse practitioner
202 CABOT CT
DEPTFORD, NJ 08096-5114
Phone number: 856-885-4579
Mailing Address
JENNIFER MARIE WALLACE nurse practitioner
36 WALKER RD
WEST ORANGE, NJ 07052-4403
Phone number: 973-715-5586
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